“Even an Attorney General of her own party will not go forward with an appeal of this ruling because he knows that any court that looks at her language will strike it down," Kinder saidl "Secretary of State Carnahan has shown (herself) to be the partisan hack that she is.”

The new ballot language inserted by fellow Republican and Circuit Judge Daniel Green asks if state law should, quote, “prohibit the Governor or any state agency from establishing or operating state-based health insurance exchanges unless authorized by a vote of the people or by the legislature?” Carnahan calls the new language, "incomplete, uninformative and a disservice to Missouri voters." Her full statement:

"The Secretary of State's office has a legal obligation to provide Missourians with fair and sufficient summaries of ballot measures. We believe our summary of SB 464 meets that legal standard. Although we strongly disagree with the decision by the Cole County Circuit Court, this office is not in a position to appeal the decision on its own. We are disappointed that Attorney General Koster has refused our request to file an appeal. The new summary language is incomplete, uninformative and a disservice to Missouri voters who must decide on the critical issue of how and when Missouri individuals, families and small businesses will have access to affordable health care."

Meanwhile, Koster has also issued a brief statement:

“Judge Greene’s summary more accurately reflects the legislative intent than does the Secretary’s proposed language. My job is to call balls and strikes in an impartial manner. The argument is over.”

Meanwhile, Koster's Republican opponent in the Attorney General's race, Ed Martin, also weighed in, saying that he should have rejected Carnahan’s "biased language in the first place."

As of 6:45 p.m. today, the original summary language approved by Carnahan and rejected by Judge Green was still on the Secretary of State's website.

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Updated 4:15 p.m. Thursday: Carnahan will not appeal Judge Green's new language, saying Attorney General Chris Koster refused a request for further legal action, and the Secretary of State's office is not in a position to appeal on its own. A full version of today's developments can be found here.

Proposition E centers on the conditions for creating a health care exchange in Missouri; the language authorized by Carnahan read in part whether the law should “deny individuals, families and small businesses the ability to access affordable health care.” Lt. Governor Peter Kinder (R) called the language used by the Secretary of State unbelievably biased.

The language in question asks in part if the law should “deny individuals, families and small businesses the ability to access affordable health care.” Attorney Jay Kanzler represents Lt. Governor Peter Kinder (R) and a group of Republican legislative leaders who filed suit.

Carnahan and Republican leaders are sparring over the language used in a ballot initiative regarding health care exchanges. Lt. Governor Peter Kinder and GOP lawmakers accuse Carnahan of using misleading language in order to influence voters to defeat the ballot question in November. Attorney Jay Kanzler represents the plaintiffs.

“Secretary of State Carnahan's language talking about denying families and individuals access to affordable health care frankly doesn’t even come close to describing, in fact, what the ballot initiative would do,” Kanzler said.

The language approved by Carnahan asks if the law should be amended to, “deny individuals, families, and small businesses the ability to access affordable health care plans through a state-based health benefit exchange unless authorized by statute, initiative or referendum.” Kinder says the language skews the ballot question’s true purpose, to bar the governor from creating an exchange by executive order.

Missouri Lt. Governor Peter Kinder is once again filing suit against a health care measure. He and some other Republican lawmakers have announced plans to challenge the secretary of state’s office on newly issued ballot language for a health care measure that’s slated to appear on the November ballot.